Washington (CNN) - President Barack Obama's renewed effort to sell his health care law will take him to the heart of Republican Texas on Wednesday, where he'll hit the state's GOP leaders for rejecting a key facet of the Affordable Care Act that could extend coverage to millions of uninsured Texans.

Obama's trip to Dallas comes amid a fresh attempt by the administration to encourage Americans to sign up for the law's health care exchanges, which officially opened for enrollment on October 1. That effort has been stymied as the website where people can enroll was brought down with technical problems.Follow @politicalticker

Texas ranks highest in the nation in the percentage of people without insurance - a statistic the White House says makes the state ripe for participation in the new health care program.

But the state's Republican governor has resisted one aspect of Obamacare–the expansion of Medicaid for people with annual incomes at or below 133% of the federal poverty level.

The U.S. Supreme Court's 2012 decision upholding the Affordable Care Act's individual mandate also deemed states could opt out of the Medicaid provision.

Texas Gov. Rick Perry did just that, saying the federal Medicaid program was already ineffective and that participating in the expansion and establishing a state exchange would amount to "brazen intrusions into the sovereignty of our state."

While some other Republican governors have also rejected the Medicaid expansion, others - including Ohio's John Kasich and Michigan's Rick Snyder - have adopted the program. Obama will cite those governors Wednesday, according to David Simas, a White House deputy senior adviser.

Obama will call on "folks in Texas to join conservative governors in other states, like Ohio and Michigan and Arizona, to put politics aside and not deny people healthcare out of ideology and politics," Simas said.

In Dallas - where 28% of the total population goes without health insurance - Obama will visit the city's Temple Emanu-El to see firsthand how people are signing up for the health care law.

"Navigators," or community members versed in the sign-up process, have been working through the website issues to help Americans enroll over the phone and through paper applications, though internal memos released this week indicated those methods still relied on the website to complete the sign-up process.

Just like puytting off raisng tax on the rch to pay debt, it is evible that all states will expand medicaded. I'd like to see Texans be keaders, stop following tea party, and pay a liavale wage.

November 5, 2013 07:40 pm at 7:40 pm |

HenryMiller

"But the state's Republican governor has resisted one aspect of Obamacare–the expansion of Medicaid for people with annual incomes at or below 133% of the federal poverty level."

Why should hard-working Texans, or anyone else, for that matter, be stuck paying the medical bills of welfare bums?

November 5, 2013 07:46 pm at 7:46 pm |

Tigas

The ObamaCare roll-out he's been a titanic disaster, now he wants to shove ObamaCare down the people of Texas's throat?

November 5, 2013 07:50 pm at 7:50 pm |

dave

Obama, The People are NOT resisting Healthcare. The ARE resisting your failed attempt at controlling what we MUST buy, and your LIES about lowering cost per person on average by $2,500 per year, saying we can keep OUR current plan if we like it (even AFTER your own analysts said that would not happen), and keep your own doctor.

November 5, 2013 08:11 pm at 8:11 pm |

Gurgyl

Texas is turning democratic with new wave of immigrants. Good sign.

November 5, 2013 08:14 pm at 8:14 pm |

socal71

It appears Obama is trying to spread the poor to all 50 states and turn those red ones blue. Look out Detroit here we come!

November 5, 2013 08:15 pm at 8:15 pm |

American Worker

Must we be passive to Obama's treacherous political operatives, planted in Texas?

Don't assume that others will show up at the polling places to preserve you personal liberty.

Heck, throw him a curve ball. Ask him to explain his claim that the law will not lead to long wait times to see a doctor, since he forgot to add a corresponding number of health care workers to care for the 30 million new customers.

November 5, 2013 08:51 pm at 8:51 pm |

jerome

Funny how the president who is for the "poor and working class" travels to the relative safety of the most expensive part of Dallas to tout his failing healthcare takeover.

November 5, 2013 08:56 pm at 8:56 pm |

American Worker

No one has a choice not to do what Big Brother tells us to do?

Green Eggs and Ham. The prefect example of using peer pressure to get people to do what they otherwise would not.
Seriously, GMO Eggs and Ham?
Try it you'll like it. Like they're selling addictive drugs.

Obama learned something from the French Revolution to stay in power; Give the people Cake.

November 5, 2013 08:57 pm at 8:57 pm |

Jabbadahut

Why? 'Cause the Republicans were right the whole time?

November 5, 2013 09:22 pm at 9:22 pm |

Jeff Frank (Ohio T Party) "Right Wing Insanity"

Cancer runs on my side of my family. I lost both my mother and my father to cancer. And last December on Christmas, I lost one of my two brothers to a fast growing cancer. So. When I say, I heard today that when someone was offered a prognosis from someone "that IS NOT EVEN A DOCTOR", say if you cannot get the surgery, rather, opt for "pain medication". Make NO mistake, the person saying that is lower than a snake in the Earth, and this person mocks what is right, and HAS NO RESPECT FOR LIFE WHATSOEVER. And somebody wants to whine about reaction of the Republicans?

November 5, 2013 09:34 pm at 9:34 pm |

Scott

The Republicans are with the American people, people who believed they could keep their healthcare plan. It's the President that's out of step. I can't remember such a liar.

November 5, 2013 09:40 pm at 9:40 pm |

dpbj602

They aren't rejecting it based on ideology or politics, they are rejecting it based on it being a terrible idea. Sorry Mr President, you need to get the facts.

November 5, 2013 09:50 pm at 9:50 pm |

Tom

Before the ACA, we were spending over $150B a year paying medical bills for the uninsured in one way or another. I think it is totally crazy that we would pay $3,000 – $10,000 per ER visit for someone but won't HELP them pay PART of their premium. Before the ACA we had 62 years of healthcare cost going up. 2012 was the first time it actually went down since 1950. Corporations have no business running the healthcare system because to them it's a business decision and not a moral or health issue. Before the ACA the system, the states and the economy was headed into bankruptcy...........so if anyone thinks it's better to pay an ER $5,000 for a visit, instead of a doctor's office a small co-pay........you need some help too. My father in law cost somebody $2.2M in cancer care treatment over 12 years. We also had a guy in my state run up $202,500 in ER bills last year.....come on people....get real.

November 5, 2013 09:53 pm at 9:53 pm |

debbie

bring it on obama. Learn from virginia. You are a liar and going down

November 5, 2013 10:08 pm at 10:08 pm |

ThinkAgain: The GOP owes our nation $24 billion

From another story, Wilson rationalized why he expects all the benefits of a civil society without having to pay for them: "Their condition is a product of the choices they have made in their lives. As are yours and mine. They should not be responsible for my choices, and I should not be responsible for theirs.
$"

Wilson, I have a friend who has never smoked, has never had a weight problem and exercises regularly, who eats a balanced diet (in fact, she makes most things from scratch because she loves to cook) and has just an occasional glass of wine. Two years ago this past spring, she was diagnosed with breast cancer, the first in her family to ever suffer from this disease. Three rounds of chemo, one mastectomy and a very long, arduous road of rehab and rebuilding of her body, I am happy to report she is cancer-free today.

Then there's another friend who gave birth to a Down's Syndrome child – again, the first time this has occurred in her family.

How DARE you insinuate that everyone who has health issues or needs extra medical help is somehow to blame for their situation! You are a worthless POS – and you can take that little dollar sign you end your spews with and shove it where the sun don't shine!

November 5, 2013 10:43 pm at 10:43 pm |

GregL

Yikes! Between the government healthcare subsidies and the expansion of medicaid, we are headed for one huge implosion of the healthcare delivery system in America. Add that to the enormous expenses of our ginormous military and there is no way this country isn't headed for total crash. The US dollar is going to be worthless in less than a decade. People will be flying to mexico and costa rica to see doctors and get meds at a fraction of the price the US is charging for the same care. If we don't find a way to head this off we will look like a third world country. No wonder so many acquaintances of mine have secured residency in other countries. OUr trillio dollar spending President is setting up America for a huge problems. Doe he care? Not in the least.

November 5, 2013 10:49 pm at 10:49 pm |

TexDoc

Obama wants to tell Texas to expand medicaid. Tell us what coverage we have to provide. Offer money for the first couple years of the program, and wonders why we don't want to buy his plan? This is like a low cost cable plan, sure it's only 39 dollars a month for the first six months–don't ask about the future cost on that 10 year contract.

November 5, 2013 11:08 pm at 11:08 pm |

Data Driven

"CNN provided heavy coverage last week of the troubled introduction of the website tied to the Affordable Care Act. The result was the lowest weekly ratings for CNN in more than a year." (New York Times)